Influences Of Heider Balance On Knowledge, Attitude, Practice And Life Quality In Permanent Urostomy Patients
Abstract Objective: To explore the influences of out-hospital intervention based on Heider balance on knowledge, attitude, practice (KAP) and life quality in permanent urostomy patients.Methods: Totally 124 patients underwent permanent urostomy in our hospital from January 2016 to December 2019 were included into this study. These patients were divided into the observation group (62 cases) and the control group (62 cases) according to the method of out-hospital intervention. The control group received routine out-hospital intervention, meanwhile the observation group received out-hospital intervention based on Heider balance. The standard-reaching rate of KAP, the score of WHO quality of life-100 (WHOQOL-100) and the complications of urostomy before discharge and at 6 months after discharge were compared in the two groups.Results: Before discharge, there were no significant differences of standard-reaching rate of KAP and WHOQOL-100 score between the two groups (P>0.05). At 6 months after discharge, the standard-reaching rates of the 16 items of KAP (including procedure of pouch replacement, methods of connecting and shutting of pouch, dealing with pouch leakage, skin care of stoma, purchase and storage of pouch, etc.) in the observation group were significantly higher than those in the control group; The scores of more than 10 items of WHOQOL-100 (including energy and fatigue, sleep and rest, positive feelings, thinking, learning, memory and concentration, self-esteem, etc.) in the observation group were significantly higher than those in the control group. The rate of complications in the observation group was significantly lower than that in the control group, all these above differences were statistically significant (P<0.05).Conclusion: The out-hospital intervention based on Heider balance can reduce the rate of ostomy complications, improve KAP of urostomy and life quality. These merits make the Heider balance to be an attractive approach in guidance of out-hospital intervention for urostomy patients.